[P2-72] Usefulness of long-term video-EEG monitoring in children
Purpose: This study investigates the usefulness of inpatient long-term video-electroencephalographic monitoring (EEG-VM) for pediatric neurology patients under four headings: pre-surgical evaluation; seizure classification; epileptic seizure and non-epileptic paroxysmal event differentiation; and antiepileptic drug (AED) treatment modification.
Method: A retrospective study of 85 patients was carried out. And the entire trial process was consumed for more than one year.
Results: The results showed that following EEG-VM, 50.4% of the patients were referred for discussion to the epilepsy surgery conference regarding resective surgery, and of these, 25% were deemed to be surgical candidates. The seizure classification assigned to the patients before EEG-VM changed in 70.3% of the patients after EEG-VM. Regarding the differentiation between epileptic seizure and non-epileptic paroxysmal events, a diagnosis of psychogenic non-epileptic seizure (PNES) was made in 3.8% of the patients after EEG-VM. EEG-VM outcomes led to the modification of AED treatment in 60.3% of the patients.
Conclusion: These significant alterations demonstrate the usefulness of EEG-VM in the management of pediatric neurology patients.
Method: A retrospective study of 85 patients was carried out. And the entire trial process was consumed for more than one year.
Results: The results showed that following EEG-VM, 50.4% of the patients were referred for discussion to the epilepsy surgery conference regarding resective surgery, and of these, 25% were deemed to be surgical candidates. The seizure classification assigned to the patients before EEG-VM changed in 70.3% of the patients after EEG-VM. Regarding the differentiation between epileptic seizure and non-epileptic paroxysmal events, a diagnosis of psychogenic non-epileptic seizure (PNES) was made in 3.8% of the patients after EEG-VM. EEG-VM outcomes led to the modification of AED treatment in 60.3% of the patients.
Conclusion: These significant alterations demonstrate the usefulness of EEG-VM in the management of pediatric neurology patients.